Organization
F ALI MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FATHELRAHMAN O ALI MD (OWNER)
(313) 624-0000
Entity
Organization
Contact information
Practice address
1711 MONROE ST, DEARBORN, MI 48124-2914
(313) 624-0000
Mailing address
1711 MONROE ST, DEARBORN, MI 48124-2914
(313) 624-0000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301075097
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4301075097
STATE LICENSE
MI
Enumeration date
03/16/2007
Last updated
10/03/2007
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